Laserfiche WebLink
' SAN JOAQUW,OUNTY ENVIRONMENTAL HEALT TEPARTMENT <br /> w' 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420 <br /> rM, Donna Heran,R.E.H.S.,Director <br /> �. ENVIRONMENTAL HEALTH <br /> 01 <br /> q�� �lEft�Y` d � 3 rk � Opti,.=•Y5u \.�'A fi � ::... C �" y8`�& ��� .�. <br /> PERMIT TO OPERATE - 4524 SKILLED NURSING FACILITYWO <br /> ¢ � Permit ID# PT0001191 for Record ID# PR0450026 a n&, � � <br /> a @ '£ .r.'� �k 6 �•,. <br /> Valid From 1/1/2013 To 12/31/2013 = t. , <br /> tt <br />� x �,'tr �•i,�t s��.i'"Ik ",���'a�rv�l, rfi trr. � � � a^' t r F`7r� az., A. <br /> e <br /> -q- <br /> V, E, i s1 4 vF�+ xe v : r is "�' " �x4• 2 t <br /> 'd ry i * <br /> ' d C 3 <br /> u, <br /> a m z 1„e <br /> •r z p � r"t �s x t f y��,� <br /> v{ <br /> �.. <br /> i;j psi <br /> ,0. <br /> r - rr r+x € <br /> �W zx3 w <br /> cS t x r q <br /> t 7 ! v �" s Yp s h ✓ _ <br /> Rtx�,' A �'s'�svr ; '�r r t s s :�• w r, 3.;� 7wk S }r i'w” 1€ d <br /> ..d P'-A± a} .•"rz rsg 1+ <br /> ' a, #,�._ 's"' ::•s wv.Ffi. .uN„ `,t,?.• 'k ,,�' <br /> r ,ti <br /> .,-� ' <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KARMA INC <br /> ' a ¢ DBA: MANTECA CARE & REHABILITATION . �t <br /> Q, <br /> • THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> ti* Facility ID FA0001190 <br /> Regulated Facility: MANTECA CARE & REHABILITATION CTR Account ID AR0001188 a <br /> 410 EASTWOOD AVE ' ` Issued 11/26/2012 # , <br /> [1 MANTECA CA 95336 <br /> y 3,8 xl <br /> Billing Address: MANTECA CARE& REHABILITATION CTR <br /> n� 410 EASTWOOD AVE m 3' <br /> MANTECA CA 95336-3167 ¢ xf � <br /> x } ° r �y <br /> l.uws,>.. � .S.. .0_ .u i'3,rY _.,x.,..... �..�•..m'1&' - �t`'ere n _ r:.�+y�"�5�`'�nti�S�edb�Se:-.__ ,.. .,�.-�` —='a�'` 1 ».�,j� .. <br />